att alascom v orchitt s-12058 alaska supreme court opinion

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  • 8/3/2019 Att Alascom v Orchitt S-12058 Alaska Supreme Court Opinion

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    Notice: This opinion is subject to correction before publication in the PACIFICREPORTER.

    Readers are requested to bring errors to the attention of the Clerk of the Appellate Courts , 303

    K Street, Anchorage, Alaska 99501, phone (907) 264-0608, fax (907) 264-0878, e-mail

    [email protected] .

    THE SUPREME COURT OF THE STATE OF ALASKA

    AT&T ALASCOM and WARD )

    NORTH AMERICA, INC., ) Supreme Court No. S-12058

    )

    Appellants, ) Superior Court No. 3AN-03-8276 CI

    )

    v. ) O P I N I O N

    )

    JOHN ORCHITT; and THE STATE ) No. 6139 - July 6, 2007OF ALASKA, DEPARTMENT OF )

    LABOR AND WORKFORCE )

    DEVELOPMENT, DIVISION OF )

    WORKERS COMPENSATION, )

    )

    Appellees. )

    )

    Appeal from the Superior Court of the State of Alaska, Third

    Judicial District, Anchorage, Philip R. Volland, Judge.

    Appearances: Trena L. Heikes, Anchorage, for Appellants.

    Steven J. Priddle, Law Office of Steven J. Priddle,

    Anchorage, for Appellee John Orchitt. Larry A. McKinstry,

    Assistant Attorney General, Anchorage, and David W.

    Mrquez, Attorney General, Juneau, for Appellee Alaska

    Workers Compensation Board.

    Before: Fabe, Chief Justice, Matthews, Eastaugh, Bryner,

    and Carpeneti, Justices.

    EASTAUGH, Justice.

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    We refer to AT&T Alascom and its insurer, Ward North America, Inc.,1

    collectively as AT&T.

    A waveguide is part of a transmission system for microwaves. It guides2

    radio frequency waves along the path they take from one point to another. The

    (continued...)

    6139-2-

    I. INTRODUCTION

    John Orchitt was exposed to radio frequency radiation in an accident while

    he worked for AT&T Alascom. After a contested hearing, the Alaska Workers

    Compensation Board awarded him temporary total disability and medical benefits.

    AT&T unsuccessfully appealed to the superior court, alleging that procedural

    irregularities deprived it of due process and that the boards decision was not supported

    by competent scientific evidence. Because substantial evidence supports the boards

    findings and because the boards procedural decisions did not deprive AT&T of due

    process, we affirm the superior courts judgment that affirmed the boards ruling.

    II. FACTS AND PROCEEDINGS

    John Orchitt applied for workers compensation benefits on September 21,

    1999, claiming he had suffered head, brain, and upper body injuries as a result of

    overexposure to radio frequency radiation on November 16, 1998. AT&T Alascom

    controverted his claim on October 14, 1999. We derive the facts in this case from the

    workers compensation file and hearing record.

    Orchitt began working for AT&T Alascom in 1991, after serving in the Air

    Force for more than twenty years. He worked primarily as a telecommunications1

    equipment installer technician.

    On November 16, 1998, Orchitt and his coworker, Tim Sorenson, were

    installing a new computer-operated switching system in the Eagle River Earth Station.

    They had to replumb sections of waveguide as part of the installation process. To2

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    (...continued)2

    waveguide in this case consisted of rigid, hollow, rectangular pieces of metal with

    flanges on both ends. Segments of waveguide were connected at their flanges by bolts.

    A hertz is a unit of measurement. It equals the number of cycles of a wave3

    (continued...)

    6139-3-

    prevent them from being exposed to radio frequency radiation, the amplifier associated

    with the waveguide they were working on was supposed to be turned off.

    After a technician from the Eagle River Earth Station turned off an amplifier

    in accordance with the specifications provided, Orchitt separated two segments of the

    waveguide. He estimated that his head was from nine to fifteen inches away from the

    waveguides point of separation. While Orchitt was working on the waveguide,

    Sorenson walked around the room with a meter and probe to detect any radio frequency

    radiation. The meter Sorenson used had three scales. A full-scale reading on the highest

    scale could indicate the presence of three times the American National Standards Institute

    (ANSI) limit for whole body exposure. Sorenson calibrated the meter outside the room.After he reentered the room, the meter pegged, indicating that there was radio

    frequency radiation in the room. Pegged means the meter registered at its highest

    level. Sorenson changed the scale while he was in the room, but the meter continued to

    peg. Realizing there was a problem, Orchitt clamped the two pieces of the waveguide

    together to stop the radiation from leaking any further. Orchitt and Sorenson then

    discovered that the amplifier connected to the waveguide had not been turned off because

    the engineer had misidentified which amplifier was associated with the waveguide they

    were working on. Orchitt contacted the engineer and tried to contact his supervisor to

    tell them about the accident; his supervisor was not in, so he contacted the manager

    instead. The radio frequency radiation Orchitt was exposed to had a frequency of six

    gigahertz; the amplifier transmitting radio frequency radiation through the waveguide3

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    (...continued)3

    that pass through a given point in a one-second period. Six gigahertz means that six

    billion cycles of the wave pass through a point in one second.

    6139-4-

    was operating at approximately ninety watts. Orchitt estimated that he was exposed to

    radio frequency radiation for three to six minutes.

    Sorenson testified that Orchitt said he felt a heat flash. Sorenson did not

    observe any redness on Orchitts face at that time. Orchitt filed a report of injury on

    December 14, indicating that his head and eyes had been exposed to radiation. He

    continued to work as an installer for AT&T for about three months following the

    accident; some of his work was overtime.

    Radio frequency radiation is non-ionizing radiation, unlike the radiation

    from x-rays. The primary biological effect of radio frequency radiation is heating.

    Ionizing radiation, in contrast, has sufficient energy to break molecular bonds within thebody. Radio frequency radiation encompasses a number of frequencies, including the

    frequencies for television, radio broadcasting, and telecommunications. The term

    microwave radiation refers to a region within the radio frequency radiation band. The

    frequency of microwave radiation is usually above one gigahertz, or one billion cycles

    per second. Different frequencies of radio frequency radiation have differing abilities to

    penetrate tissue. Frequency and wavelength are related, so that longer waves have lower

    frequencies. Longer waves have greater penetration. Six gigahertz waves penetrate to

    approximately eight millimeters. When the waves reach this depth, they have lost

    approximately eighty-five percent of their energy.

    Safety standards for exposure to radio frequency radiation vary according

    to the frequency involved. There are two ways to calculate exposure to radio frequency

    radiation. One way is to calculate the actual exposure level in milliwatts per square

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    The American National Standards Institute (ANSI) also established4

    exposure guidelines for radio frequency radiation. The boards engineering experttestified in his deposition that for the frequency Orchitt was exposed to, the ANSI

    standard is twice the FCC standard.

    A transient ischemic attack involves a small clot in the blood vessels of the5

    brain that dissolves in a few hours.

    6139-5-

    centimeter; the second way measures tissue absorption of radio frequency radiation in

    watts per kilogram. The Federal Communications Commission (FCC) has set standards

    both for general public exposure and for occupational exposure. Two experts who

    testified in Orchitts case and the board used the FCC occupational standard for actual

    exposure to evaluate whether he was overexposed to radio frequency radiation. The FCC

    occupational standard for actual exposure at six gigahertz is five milliwatts per square

    centimeter over a six-minute interval for whole body exposure.4

    Orchitts first medical visit after the exposure was an appointment with his

    family clinic on November 30, 1998. Orchitt was concerned about headache and eye

    pain after the exposure but thought he had a sinus infection. The doctor he saw referredOrchitt to an optometrist for follow up. The optometrist found nothing wrong but

    referred Orchitt to a neurologist to rule out a stroke. The neurologist ordered an MRI;

    it showed tiny areas of hyperintensity in the frontal lobes, which the neurologist

    concluded had doubtful clinical significance. The neurologist prescribed medication

    for Orchitts headaches. Dr. David Swanson, an ophthalmologist, evaluated Orchitts

    eyes in February 1999 and found no abnormality except decreased tear production.

    Orchitt went to Dr. Stanley Smith, his family physician, in March 1999 with complaints

    about mental slowing. Dr. Smith was concerned that Orchitt had suffered a stroke or

    transient ischemic attack.5

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    6139-6-

    In March 1999 Orchitts neurologist referred him to Dr. Marvin Ziskin, a

    professor of radiology and medical physics at Temple University in Philadelphia. Dr.

    Ziskin did not examine Orchitt in person, but, using information Orchitt provided him,

    made calculations related to the amount of radio frequency radiation for Orchitts

    exposure. Based on those calculations, Dr. Ziskin concluded that Orchitt was

    overexposed to radio frequency radiation.

    Dr. Ziskins conclusions differed from those of Kimberly Kantner, AT&Ts

    radiation safety officer. Following the injury report, Kantner had calculated Orchitts

    probable exposure level, using a mathematical model. Based on these calculations, she

    estimated a range of radiation exposure levels, with the high end being slightly in excessof the FCC maximum permissible limit. But because of the physical symptoms he

    described, she concluded that Orchitt had not been overexposed.

    Orchitt consulted Dr. Paul Craig, a neuropsychologist, in August 1999. Dr.

    Craigs evaluation showed a relatively normal neurocognitive profile, although he noted

    a very mild neurocognitive disorder and a significant level of depression. Dr.

    Craigs report stated that he did not have the necessary expertise to determine whether

    there was any link between Orchitts symptoms and his radio frequency radiation

    exposure.

    Orchitt began treatment at the Brain Injury Association of Alaska in

    October 1999. His main care provider there was Dr. Debra Russell; she has a Ph.D. in

    psychology, but is not a licensed clinical psychologist. Dr. Russell conducted some

    testing on Orchitt and issued an opinion letter to the claims adjuster, stating that Orchitt

    was suffering from a cognitive disorder as a result of his radio frequency radiation

    exposure. She provided Orchitt with ongoing rehabilitation therapy to address his

    continuing complaints of mental slowing and mood changes.

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    An MRI, in contrast, looks at structural changes.6

    6139-7-

    Dr. Russell also referred Orchitt to Dr. Daniel Amen, a psychiatrist, for a

    single photon emission computed tomography (SPECT) scan. A SPECT scan measures

    blood flow in the brain, looking at functional, rather than structural, changes. Dr. Amen6

    performed the SPECT scan in November 2000 and concluded that Orchitt had some

    decreased brain activity as well as depression. Dr. Amen attributed the neurological

    impairments he observed to radio frequency radiation exposure based on the history

    Orchitt gave and a discussion Dr. Amen had with Dr. Russell.

    AT&T retained a panel of doctors to evaluate Orchitt. Dr. Patricia Sparks,

    a specialist in occupational and environmental medicine and internal medicine, examined

    Orchitt in September 2000. Dr. Sparks concluded that while Orchitt may have had somewarming of his skin due to the radio frequency radiation exposure, the symptoms he

    described were not consistent with the known health effects of radio frequency radiation

    exposure. She believed that Orchitt was suffering from depression that was not directly

    related to the radio frequency radiation exposure.

    Dr. David Coppel, a Washington neuropsychologist, also evaluated Orchitt

    for AT&T in September 2000. He did some of the same testing Dr. Craig had done in

    1999. The testing showed some impairments in visual processing, but Dr. Coppel did not

    believe that they could be related to the radio frequency radiation exposure. He instead

    believed that depression was the most likely cause of Orchitts difficulties, but he did not

    offer an opinion as to the origin of the depression.

    Dr. Douglas Robinson, a Seattle psychiatrist, conducted a psychiatric

    evaluation of Orchitt for AT&T, also in September 2000. He concluded that the late

    onset of symptoms reported by Orchitt indicated that the radio frequency radiation

    exposure was an unlikely cause of Orchitts difficulties. His opinion stated that the most

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    likely explanation for Orchitts complaints was depression and somatization due to stress.

    He identified several stressors that could have contributed to the depression.

    Because of the complex medical issues, the board ordered a second

    independent medical evaluation (SIME) in April 2000. The board selected Dr. Charles

    Sutton, a neurosurgeon, to conduct the evaluation. Dr. Sutton spoke with Orchitt by

    phone and was provided extensive medical records. Dr. Sutton asked the board to hire

    an engineer as a consultant to give him a better idea of how much radio frequency

    radiation Orchitt had been exposed to.

    At Dr. Suttons request, the board hired Dr. Arthur Guy, a professor

    emeritus of electrical engineering at the University of Washington. Dr. Guy had doneextensive work in the area of the biological effects of radio frequency radiation. He

    conducted three computer models of the accident. The first was based on information

    received from AT&T. After the report based on the first model concluded that there was

    no overexposure, Orchitt wrote to Dr. Guy, describing the incident. Dr. Guy then ran a

    second model, using the information that Orchitt provided. This scenario also showed

    that Orchitt had not been overexposed to radio frequency radiation. Orchitt again

    contacted Dr. Guy and supplied other information. Dr. Guy then made a third set of

    calculations. Because there was conflicting evidence about the placement of possible

    reflectors, Dr. Guy placed the reflectors in what he considered to be the worst possible

    placement in terms of radiation exposure. The third scenario produced an exposure that

    was approximately nine and a half percent over the FCC exposure limits, but not enough

    to cause biological effects. After receiving Dr. Guys reports, Dr. Sutton concluded that

    Orchitt had not suffered any injury related to the radio frequency radiation exposure

    beyond dermal heating, which Orchitt experienced as a sensation akin to sunburn.

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    8 Alaska Administrative Code (AAC) 45.120(f) (2004).7

    6139-9-

    Orchitts board hearing was scheduled to begin on April 8, 2003. The

    parties attended a pre-hearing conference on March 10, 2003. Orchitt stated at that

    conference that he would be submitting two new expert reports, one from Dr. Russell,

    and one from a newly identified expert, Dr. James May, a neuropsychologist. Dr. Mays

    report concluded that Orchitt suffered from organic personality syndrome and mood

    disorder due to general medical conditions and that these conditions related to his

    exposure to radio frequency radiation. In spite of AT&Ts objection, the board refused

    to exclude the reports because the board reasoned that they were filed within the twenty-

    day deadline for filing evidence.7

    A short time later, AT&T requested a continuance so that it could get afollow-up employers medical examination (EME) of Orchitt in response to the new

    expert reports. AT&T later withdrew that request with the understanding that Orchitt

    would attend an EME before the hearing. AT&T scheduled the EME for April 1-3, 2003

    in Seattle; however, in a March 19 letter from his attorney, Orchitt indicated that he

    would not be able to attend the EME as scheduled. AT&T requested a board hearing to

    address several issues, including the EME and AT&Ts renewed request for a

    continuance.

    At a board hearing on April 1, Orchitt said he would submit that day

    another new expert report from another new expert, Dr. Jeff Keene, a neuro-

    ophthalmologist. Dr. Keene diagnosed several vision disorders in Orchitt and made

    recommendations for treatment. AT&T told the board that it had not yet received all the

    information it had requested from Dr. May and that Dr. May had not appeared at his

    scheduled deposition. AT&T asked the board to either strike Dr. Mays report or,

    alternatively, grant a continuance to allow AT&T to (1) demand that Dr. May release his

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    report and (2) compel Orchitt to attend a follow-up EME. The board denied AT&Ts

    request to strike Dr. Mays report, decided that it would be unreasonable to require

    Orchitt to attend a follow-up EME so close to the April 8 main hearing, and reserved

    ruling on AT&Ts continuance request.

    At the April 8 hearing AT&T renewed its request for a continuance for the

    purpose of developing expert testimony to rebut what it called Dr. Mays alleged

    report. The board denied the request but told AT&Ts attorney that she could renew the

    request or make objections the following day.

    At the time of the hearing Dr. Keene was out of state and unavailable to

    testify. The board admitted Dr. Keenes report and said it would hold the record openfor rebuttal or cross-examination. Although the board had admitted Dr. Mays report into

    evidence, and although Dr. May was available, Orchitt did not present him as a witness.

    AT&T objected to a board ruling that if AT&T wanted to cross-examine Dr. May, it

    would have to do so during the time allotted for its case-in-chief. AT&Ts counsel said

    that she wanted to think about whether she wanted to take the time from her case-in-chief

    to cross-examine Dr. May. AT&T never thereafter renewed its request to cross-examine

    Dr. May.

    At the end of the hearing AT&T objected to the denial of its continuance

    request and also stated that it would waive cross-examination of Drs. May and Keene.

    The board chair told AT&T that the board would not leave the record open for a follow-

    up EME and that the board was closing the evidentiary record at that time. AT&T did

    not object to closing the record.

    The boards post-hearing decision and order found that Orchitt had been

    exposed to excessive amounts of radio frequency radiation. It found that the models of

    Dr. Guy and Kimberly Kantner did not correspond with the known facts in the case.

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    Handley v. State, Dept of Revenue, 838 P.2d 1231, 1233 (Alaska 1992).8

    Kelly v. Zamarello, 486 P.2d 906, 916 (Alaska 1971).9

    6139-11-

    In finding that Orchitt had been overexposed, it relied on the testimony of Orchitt,

    Sorenson, and Dr. Ziskin. The board decided that Orchitts mental deficits and

    depression were the result of the overexposure. Besides testimony from medical experts,

    the board relied on testimony from Orchitts coworkers that Orchitt had a red face

    following the accident and that his mental and cognitive states changed after the accident.

    It also decided that Orchitts predominant cause of disability was his depression and

    awarded him temporary total disability (TTD) benefits through April 21, 2001, the date

    on which Orchitt applied for unemployment benefits and certified that he was available

    for work. One member of the panel dissented, concluding that Orchitts exposure caused

    only dermal symptoms that readily healed and that AT&T had paid all benefits dueOrchitt.

    AT&T appealed to the superior court, contending that the board violated

    AT&Ts due process rights and that the decision was not supported by substantial

    evidence. AT&T alleged for the first time in the superior court that the board chair was

    biased. The superior court affirmed the boards decision, finding that the decision was

    supported by substantial evidence and that AT&Ts due process rights had not been

    violated. AT&T appeals.

    III. DISCUSSION

    A. Standard of Review

    We directly review the boards ruling. Whether the board denied AT&T8

    due process is a question of law that does not involve agency expertise; we substitute our

    judgment and exercise independent review of questions of law. We review the boards9

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    DeYonge v. NANA/Marriott, 1 P.3d 90, 94 (Alaska 2000).10

    Id.11

    AS 23.30.120;Bradbury v. Chugach Elec. Assn , 71 P.3d 901, 905 (Alaska12

    2003).

    Bradbury, 71 P.3d at 905 (quoting Temple v. Denali Princess Lodge, 2113

    P.3d 813, 815-16 (Alaska 2001)).

    Id.14

    Id. at 906.15

    Id.16

    6139-12-

    factual findings under the substantial evidence standard. Substantial evidence is such10

    evidence as a reasonable mind might accept as adequate to support a conclusion.11

    B. Substantial Evidence Supportsthe Boards Decision.

    The Alaska Workers Compensation Act creates a presumption that an

    employees claims are compensable. Applying this presumption involves a three-step12

    analysis. First, to trigger the compensability presumption the employee must establish13

    a link between his injury and his employment. In this case, the board found that Orchitt14

    had produced sufficient evidence to establish a link between Orchitts employment and

    his disability. AT&T does not appear to contest this part of the boards findings.

    Second, once the employee establishes the presumption of compensability,the employer may rebut the presumption with substantial evidence. In Orchitts case,15

    the board found that AT&T had rebutted the presumption. Orchitt does not challenge the

    boards finding that AT&T rebutted the presumption.

    Third, if an employer rebuts the presumption, the burden shifts to the

    employee to prove his claim by a preponderance of the evidence. Here the board found16

    that Orchitt had provided sufficient evidence to establish his claim. AT&T challenges

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    Commercial Union Cos. v. Smallwood, 550 P.2d 1261, 1267 (Alaska 1976).17

    Veco, Inc. v. Wolfer, 693 P.2d 865, 871 (Alaska 1985).18

    6139-13-

    the boards conclusion that Orchitt proved his claim by a preponderance of the evidence,

    raising several issues about whether substantial evidence supports the boards decision.

    1. Overexposure to radio frequency radiation

    AT&T first claims that the boards finding that Orchitt was overexposed to

    radio frequency radiation is not supported by substantial evidence because the board

    rejected the testimony of the boards engineering expert and AT&Ts radiation expert

    and relied instead on the lay testimony of Orchitt and his coworker, as well as its own

    common sense. AT&T asserts that Dr. Ziskin, a medical doctor who also calculated

    Orchitts exposure, retracted his initial opinion that Orchitt had been overexposed. It

    argues that because the issue of overexposure to radio frequency radiation is highlytechnical, any finding that Orchitt was overexposed must be supported by expert

    scientific testimony. It alleges that only Kimberly Kantner and Dr. Guy had adequate

    expertise to properly evaluate the level of Orchitts exposure.

    In some workers compensation cases expert medical testimony is necessary

    to demonstrate a relationship between the claimants employment and his disability.17

    Whether expert testimony is necessary depends on the probative value of the available

    lay evidence and the complexity of the medical facts involved. AT&T relies on18

    Commercial Union Cos. v. Smallwoodin arguing that the board erred in its finding of

    overexposure. But the board based its finding that Orchitt was overexposed to radiation

    not just on lay testimony and common sense; it also relied on Dr. Ziskins expert opinion.

    Although AT&T contends that Dr. Ziskin retracted his opinion, the record does not

    support this assertion. In his April 16, 1999 letter, he did not, as AT&T argues, say that

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    it was unlikely that Orchitt sustained any significant overexposure. This letter contains

    no reference at all to exposure level. Nor did Dr. Ziskin change his mind in his

    deposition. Dr. Ziskin there testified that he still had concerns about whether Dr. Guys

    models adequately accounted for specular reflection in determining how quickly the

    radiation would dissipate once it left the waveguide. AT&T points to the following

    excerpts from Dr. Ziskins deposition testimony to support its argument:

    Q: Okay. All right. You havent done any calculations or

    analysis yourself, have you, to the degree Dr. Guy has?

    A: About what? I mean, I do make calculations of

    radiation exposures and so on from antennas and

    things like that.Q: No. I mean in this case, Doctor. Im sorry.

    A: Oh, in this particular case?

    Q: Yeah.

    A: The calculations that I made were very

    Q: Rough?

    A: limited. I took the total power that was coming

    through the waveguide, and I divided it by the area tocome up with what was the average power density

    within the waveguide, which would be at the starting

    point.

    Q: Right. And it would be it would lose power as it

    moved away, right?

    A: Well, within the waveguide, for the most part, the

    power will stay the same.

    Q: Within the waveguide, but once it

    A: Within the waveguide. But once it leaves the

    waveguide, it gets attenuated, yeah. It depends upon

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    the nature of the way it leaves how rapidly it

    attenuates.

    Q: Okay.

    A: And most of the modeling was done on the idea of the

    inverse square law; but with specular reflection, that

    would not necessarily be true.

    Q: And specular reflection you deal with in ultrasound,

    right?

    A: Thats correct.

    . . . .

    Q: . . . . Now, as to the differences between the sort[] of

    doctor[] that you are as compared to Dr. Guy, can youexplain the differences for so that we can understand

    the kind of testimonies that we can expect that you

    would be able to testify to accurately as opposed to the

    type of testimony Dr. Guy would be able to testify to

    accurately?

    A: Well, there is a great deal of overlap. However, Ill

    I think he would defer to me when it comes to medical

    judgment and biology. And unless there was

    something very specific, I will always defer to himwhen it comes to the physical engineering side of

    things. And I think the same thing is true with its

    possible that, because he has done some biological

    research, that there could be something that I would

    not be correct on and he would maybe correct me

    when it comes to even biology or even medicine, but

    in general, he would defer to my opinion when it

    comes to medical aspects.

    We do not believe that Dr. Ziskins testimony that he would defer to Dr.

    Guys opinions with respect to physical engineering unless there was something very

    specific indicates that he retracted or otherwise abandoned his opinion that Orchitt was

    overexposed. Dr. Ziskin identified the specific issue of specular reflection as an area

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    of possible disagreement with Dr. Guy. In his deposition, Dr. Ziskin reiterated his belief

    that Dr. Guys model had not taken specular reflection into account.

    A: Where I have a question is in the initial assumptions of

    what was the exposure ahead of time, what went into

    that model. And thats why I said I wanted to look to

    see what was the incident power density that he felt

    was started to expose the head with. And here is

    where I have a little different point of view. It has to

    do with reflections off of the flange. Because I have a

    background in ultrasound for diagnosis where we look

    at reflections, thats the whole diagnosis concerned

    with, Im aware that you can have pretty large

    reflections off of structures that are relatively strong

    compared to just the scatter and the back scatter thatyou would have otherwise. And see, I havent seen the

    actual setup.

    But it would be possible that if the two flanges that

    had been that the waveguide segments that had been

    separated had overlapped and there was strong

    reflections coming off of one of the flanges, that that

    reflection could actually be quite high and might not

    be measured in the model the modeling that Dr. Guy

    had used. Thats sort of a rather important pointbecause that would establish what that initial

    maximum exposure would be.

    . . . .

    Q: And Dr. Guy did take that into account in the third

    report. Do you see that?

    A: Well, looking at it, though, its not clear to me whether

    or not it actually addressed what I call specular

    reflections, the type of reflections Im talking about.It looked more of the defraction type of reflection,

    which is certainly true, but I dont know whether or

    not the model actually takes into account the specular

    reflections.

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    Yahara v. Constr. & Rigging, Inc., 851 P.2d 69, 72 (Alaska 1993) (citing19

    Delaney v. Alaska Airlines, 693 P.2d 859, 863-65 (Alaska 1985)).

    Beauchamp v. Employers Liab. Assurance Corp., 477 P.2d 993, 996-9720

    (Alaska 1970).

    6139-17-

    . . . .

    A: The only thing, Im not sure whether that model takes

    into account specular reflections or not. I just dont

    know for sure. I would have to ask Dr. Guy.

    Dr. Ziskins report and testimony provide substantial scientific evidence to

    support the boards finding. AT&T does not argue that Dr. Ziskin was not qualified to

    give an opinion about overexposure. Moreover, the board was free to credit the

    testimony of Dr. Ziskin over that of Dr. Guy and Kimberly Kantner. [I]f the Board is

    faced with two or more conflicting medical opinions each of which constitutes

    substantial evidence and elects to rely upon one opinion rather than the other, we will

    affirm the Boards decision. This is particularly so if the board believed that, based19

    on Orchitts description of the separation between the segments of the waveguide and his

    distance from the flange, specular reflection had occurred, and if it found that Dr.

    Ziskins opinion more accurately matched how the accident happened than Dr. Guys.

    We therefore find no merit in AT&Ts contention that the boards finding was not

    supported by adequate scientific evidence.

    Furthermore, inBeauchamp v. Employers Liability Assurance Corp., we

    held that the board could permissibly combine uncontradicted lay testimony with

    uncertain medical testimony to support a conclusion that a workers injury was work

    related. Here, the board did not err in relying on the lay testimony of Orchitts20

    coworkers in combination with the medical evidence in determining that Orchitt had

    suffered a work-related injury.

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    State v. Coon, 974 P.2d 386 (Alaska 1999).21

    Id. at395 (citingDaubert v. Merrill Dow Pharm., Inc. , 509 U.S. 579, 593-22

    94 (1993)).

    AT&T objected to the admission of Dr. Russells March 4, 2003 report on23

    other grounds.

    Wagner v. Stuckagain Heights, 926 P.2d 456, 459 (Alaska 1996).24

    6139-18-

    2. Medical evidence

    AT&T also argues that the boards findings that Orchitt suffered a work-

    related injury and that Orchitts mental deficits were related to the radio frequency

    radiation are based on incompetent medical evidence. It contends that the evidence

    presented by Drs. Russell and Amen does not meet the standards articulated in State v.

    Coon to test the reliability of scientific testimony. Thus, it argues that the SPECT scan21

    that was the foundation of Dr. Amens diagnosis of brain damage does not satisfy Coon

    and that because Dr. Russell was not a licensed clinical psychologist, her opinions were

    not sufficiently reliable to provide a basis for the boards ruling.

    In State v. Coon we set out factors for trial courts to use in determiningwhether expert scientific evidence is sufficiently reliable to be admitted into evidence.22

    AT&T did not object before the board to the admission of either Dr. Russells or Dr.

    Amens reports or testimony on this basis, nor did it make an argument about the23

    applicability of the Coon standard to workers compensation cases in its superior court

    appeal. Because AT&T first raises the issue before us, it has waived the issue.24

    AT&T did argue before the board, as it argues here, that Dr. Russells

    testimony should not be credited because she was not licensed as a clinical psychologist.

    But AT&T does not dispute that Dr. Russell has a doctorate degree in psychology and

    is certified as a rehabilitation specialist. These credentials provide her with some

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    AS 23.30.122.25

    The board did not explicitly identify which experts it relied on in making26

    its findings.

    AS 23.30.122.27

    Bradbury v. Chugach Elec. Assn , 71 P.3d 901, 909 (Alaska 2003) (quoting28

    Childs v. Copper Valley Elec. Assn, 860 P.2d 1184, 1189 (Alaska 1993)).

    6139-19-

    expertise. The board did not make a specific finding about Dr. Russells credibility or

    the weight it accorded her testimony; nonetheless, the board acted within its discretion

    in rejecting AT&Ts challenge to her expertise and in admitting her testimony.25

    AT&T also argues that the board must have relied on the opinions of Drs.

    Russell, May, and Keene in finding that Orchitts injury caused his impairments. It26

    argues that none of these experts had sufficient expertise in radio frequency radiation

    exposure to be able to connect Orchitts injury and his medical condition.

    AT&Ts argument overlooks the opinions of Drs. Ziskin and Smith. Dr.

    Ziskin stated in his letter to the claims adjuster that neurological problems would be

    expected to result from Orchitts overexposure to radio frequency radiation. As we havealready noted, AT&T is incorrect in asserting that Dr. Ziskin withdrew his opinion about

    Orchitts overexposure. In addition, Dr. Smith wrote that he believed that Orchitt

    sustained neurocognitive deficits related to radio frequency radiation. AT&T does not

    argue that the medical opinions of Drs. Smith or Ziskin are suspect. The board has the

    sole power to determine witness credibility and assign weight to medical testimony.27

    When medical experts disagree about the cause of an employees injury, we have held

    that as a general rule it is undeniably the province of the Board and not this court to

    decide who to believe and who to distrust. Substantial medical evidence in the28

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    6139-20-

    record supports the boards determination that Orchitt is entitled to medical and TTD

    benefits.

    C. The Board Did Not Deny AT&T Due Process.

    AT&T argues that a series of board procedural decisions violated its due

    process rights. It contends that the violations occurred when the board: (1) denied

    AT&Ts right to cross-examine the employees experts; (2) admitted Orchitts last-

    minute expert reports without giving AT&T an opportunity to rebut the evidence through

    an EME; (3) denied AT&Ts request for a continuance; and (4) violated its right to an

    impartial trier of fact when the hearing officer failed to disclose that he was also an

    officer of the AFL-CIO. Because we conclude that the board committed no proceduralerrors in these regards, it did not deny AT&T due process.

    1. Cross-examination

    AT&T argues that the board denied its right to cross-examine two of

    Orchitts experts, Drs. May and Keene. Dr. Keene was not available to testify at the

    hearing because he was out of state. Orchitt did not present Dr. May for cross-

    examination because Orchitt ran out of time in presenting his case. The board gave

    AT&T the option of cross-examining Dr. May during the time allotted for its case-in-

    chief. AT&T objected to this option; in response, the board chair said, If you want to

    cross-examine him, you can cross-examine him on your time tomorrow. AT&Ts

    attorney indicated that she wanted to think about it; she also indicated that she wanted

    the record to close the next day and did not want to leave the record open for depositions.

    The next day, AT&Ts attorney did not ask to cross-examine Dr. May, and at the end of

    the hearing, AT&Ts counsel explicitly stated on the record that AT&T was waiving its

    right to cross-examine Drs. May and Keene.

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    Smallwood, 550 P.2d at 1266-67.29

    Id. at 1266.30

    The board procedure for requesting cross-examination of the author of a31

    medical report is set out in 8 AAC 45.052 (2004).

    8 AAC 45.054(a) (2004).32

    8 AAC 45.054(c) (2004).33

    6139-21-

    AT&T contends on appeal that this was not a true waiver because the

    manner in which the board proposed to permit cross-examination was constitutionally

    defective. It argues that the boards admission of Dr. Keenes report after it had been

    informed that Dr. Keene would not be available for cross-examination at the hearing

    violated Commercial Union Cos. v. Smallwood. In that case, we recognized that a party29

    has the right to cross-examine a witness without bearing the cost of calling that witness

    herself. Thus, when a party files a medical report with the board, that party has the30

    responsibility of producing the reports author at a hearing or deposition to give the

    opposing party an opportunity to cross-examine the author if cross-examination is

    requested. Workers compensation regulations require the party seeking to introduce

    31

    a witnesss testimony by deposition to pay the initial cost of the deposition. If a32

    subpoena is required, the party requesting the subpoena must bear that cost as well.33

    The boards rulings here appear contrary to Smallwoodbecause the board admitted Dr.

    Keenes and Dr. Mays reports and then would have required AT&T to conduct

    depositions of Orchitts experts in order to cross-examine them.

    But AT&T did not object on the record to the method of cross-examination

    proposed by the board here, namely deposition testimony. Instead, it simply stated that

    it waived its right to cross-examine Drs. May and Keene. Because AT&T did not qualify

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    Williams v. Abood, 53 P.3d 134, 148 (Alaska 2002) ([F]ailure to make the34

    appropriate objection during the hearing waives the right to appeal procedural errors.).

    See Rose v. Commercial Fisheries Entry Commn, 647 P.2d 154, 16135

    (Alaska 1982).

    6139-22-

    or limit its waiver of its right of cross-examination, it cannot now claim that the board

    erred in denying its right to cross-examine Drs. May and Keene.34

    2. The boards refusal to require an EME before the hearing

    We review an agencys application of a statute or regulation to a particular

    factual situation for abuse of discretion or arbitrariness. The board did not abuse its35

    discretion by denying AT&Ts March 2003 pre-hearing request for a follow-up EME.

    Alaska Statute 23.30.095(e) provides that a medical examination requested by the

    employer not less than 14 days after injury, and every 60 days thereafter, shall be

    presumed to be reasonable. AT&T made its request for a follow-up EME within the

    time limits set out in that statute. Before making its March 2003 request, AT&T madeits last request in September 2000 that Orchitt attend a medical examination. Due to

    Orchitts new expert reports, AT&T scheduled a follow-up EME in early April 2003.

    The board decided that the statutory presumption for an EME was overcome because

    AT&T requested the follow-up EME too close to the April 8, 2003 hearing date. At the

    April 1 hearing, the board gave AT&T the option of obtaining a follow-up EME after the

    hearing. The board later ruled that after the hearing ended it would not leave the record

    open for AT&T to submit a follow-up EME.

    Although it may appear that the board reversed course, AT&T told the

    board on April 8 that it wanted the record to close the following day, April 9. Because

    AT&T affirmatively asked that the record close on April 9, there was no reason for the

    board to leave the record open for AT&T to submit a follow-up EME. We cannot

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    Nothing in the statute requires that an EME occur before a hearing. AS36

    23.30.095(e) provides, in part, The employee shall, after an injury, at reasonable times

    during the continuance of the disability . . . submit to an examination by a physician . . .

    of the employers choice . . . .

    Cf. Adamson v. Univ. of Alaska, 819 P.2d 886, 889-90 (Alaska 1991).37

    6139-23-

    determine whether AT&T could have been harmed by the boards action in denying

    AT&Ts request for a pre-hearing follow-up EME, because AT&T apparently took no

    action after the hearing to obtain a follow-up EME. The board had given AT&T an

    opportunity to obtain a post-hearing EME. Nothing prevented AT&T from scheduling

    an EME after the hearing and petitioning the board to reopen the record to consider it.36

    If the board had then refused to reopen the record to consider the EME, the EME would

    have functioned like an offer of proof available to any appellate tribunal determining

    whether AT&T was harmed by the boards failure to require an EME before the hearing

    or its refusal to consider any evidence produced by the EME. And if the board had37

    reopened the record and considered the EME evidence, any possible error in failing torequire a pre-hearing EME would have been harmless.

    Moreover, even though AT&T makes much of the boards denial of a pre-

    hearing follow-up EME, it does not explain why other measures short of an EME would

    have been unsuccessful in rebutting Orchitts last-minute experts. AT&T does not

    explain, for example, why it could not have called or why it did not call Dr. Swanson, the

    ophthalmologist who examined Orchitt and found nothing wrong, as a witness to rebut

    Dr. Keenes report. It also does not explain why cross-examination without an EME

    might not have been effective. AT&T also does not explain why it needed an actual

    examination of Orchitt when it could have used the raw data generated by Dr. Mays tests

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    AS 23.30.095(e). AT&T also alleged that it had difficulty obtaining the raw38

    data from Dr. Mays office, but the board indicated that it would consider this issue indeciding whether or not to grant a continuance.

    Adamson, 819 P.2d at 889-90.39

    8 AAC 45.074(b) (2004).40

    6139-24-

    of Orchitt. Furthermore, Dr. Robinson, one of AT&Ts experts, testified at the hearing38

    that he had read Dr. Mays report, and he offered general testimony tending to discount

    neuropsychological testing.

    Finally, AT&T did not object at the end of the hearing to closing the record.

    It did not ask to present rebuttal evidence in any form other than a follow-up EME, nor

    did it make an offer of proof about what evidence it might have offered in rebuttal. A

    partys failure to make an offer of proof acts as a waiver of any claim of error regarding

    the exclusion of unspecified evidence.39

    3. The boards denial of AT&Ts request for a continuance

    Soon after Orchitt presented his new expert reports in the month before thehearing, AT&T requested a continuance of its expert medical testimony. AT&Ts

    continuance requests were all related to obtaining a follow-up EME to develop rebuttal

    evidence in response to Orchitts experts, Dr. May and, later, Dr. Keene. AT&T made

    its requests in reliance on 8 AAC 45.074.

    The regulatory standard for granting a continuance is good cause. AT&T40

    argued to the board that there was good cause for a continuance under 8 AAC

    45.074(b)(1)(I) and 8 AAC 45.074(b)(1)(L), which state that good cause for a

    continuance exists when

    (I) the board determines that despite a partys due

    diligence in completing discovery before requesting a hearing

    and despite a partys good faith belief that the party was fully

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    J.L. Hodges v. Alaska Constructors, Inc. , 957 P.2d 957, 960 (Alaska 1998)41

    (citingRose v. Commercial Fisheries Entry Commn , 647 P.2d 154, 161 (Alaska 1982)).

    In an interlocutory decision in the case, the board noted that the chair of the42

    pre-hearing conference did not want to grant a continuance because the case had been

    languishing for several years (though not necessarily through the fault of the

    employer) . . . .

    Cf. State, Dept of Natural Res. v. Greenpeace, 96 P.3d 1056, 1066 (Alaska43

    2004).

    The board chair said to AT&Ts attorney, [I]f you want to leave the record44

    open Im certainly open to doing that. He also asked if AT&T wanted to leave the

    (continued...)

    6139-25-

    prepared for the hearing, evidence was obtained by the

    opposing party after the request for hearing was filed which

    is or will be offered at the hearing, and due process required

    the party requesting the hearing be given an opportunity to

    obtain rebuttal evidence;

    . . .

    (L) the board determines that despite a partys due

    diligence, irreparable harm may result from a failure to grant

    the requested continuance or cancel the hearing.

    The scope of review for an agencys application of its own regulations to

    the facts is limited to whether the agencys decision was arbitrary, unreasonable, or an

    abuse of discretion. The board did not abuse its discretion in failing to grant AT&Ts41

    request for a continuance. The board appears to have balanced its desire to go forward

    with the hearing in the case, which had been pending for quite some time, with AT&Ts42

    due process rights when it: (1) offered to leave the record open so that AT&T could rebut

    Dr. Keenes report or cross-examine Dr. Keene at deposition; (2) afforded AT&T the43

    opportunity to cross-examine Dr. May at the hearing albeit on AT&Ts own time; and

    (3) offered to leave the record open at the close of the hearing. AT&T waived cross-44

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    (...continued)44

    record open for cross-examination after he said that he would not leave the record open

    for a follow-up EME.

    Schweiker v. McClure, 456 U.S. 188, 195 (1982);Amerada Hess Pipeline45

    Corp. v. Alaska Pub. Utils. Commn, 711 P.2d 1170, 1180 (Alaska 1986).

    AS 44.62.010.950.46

    Bruner v. Peterson , 944 P.2d 43, 49 (Alaska 1997) (citingEarth Res. Co.47

    v. State, 665 P.2d 960, 962 n.1 (Alaska 1983)).

    6139-26-

    examination of Drs. Keene and May and did not object to the boards closing the record

    at the end of the hearing. Because the board offered AT&T some opportunity to present

    evidence after the hearing in lieu of granting a continuance, we cannot say that the board

    abused its discretion here.

    4. AT&Ts right to an impartial tribunal

    Due process gives a party the right to have an impartial tribunal hear the

    partys case. AT&T contends that the hearing officer in this case was biased because45

    he had been elected to an officer position in the Alaska Chapter of the AFL-CIO the

    summer before the hearing. It argues that AS 23.30.005(a) and (e) require that a

    workers compensation hearing panel be balanced, and that the panel here did not meetthis requirement. It also asserts that the hearing officer should have disqualified himself

    under AS 44.62.450(c), one of the provisions of the Alaska Administrative Procedure

    Act. Finally, it contends that the hearing officers conduct violated the Alaska Code46

    of Judicial Conduct.

    a. Actual bias or prejudgment

    Administrative agency personnel are presumed to be honest and impartial

    until a party shows actual bias or prejudgment. To show hearing officer bias, a party47

    must show that the hearing officer had a predisposition to find against a party or that the

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    Tachick Freight Lines v. Dept of Labor, 773 P.2d 451, 453 (Alaska 1989)48

    (citingIn re Cornelius, 520 P.2d 76, 83 (Alaska 1974)).

    Former AS 23.30.005(a). The statute was amended in 2005 to say, Each

    49

    panel must include the commissioner of labor and workforce development or a hearing

    officer designated to represent the commissioner, a representative of industry, and a

    representative of labor . . . . The 2005 amendments also authorize the board to provide

    procedures to avoid conflicts and the appearance of impropriety in hearings. AS

    23.30.005(a).

    6139-27-

    hearing officer interfered with the orderly presentation of the evidence. We conclude48

    that the hearing officers position as an AFL-CIO vice president is insufficient to show

    actual or probable bias on its own. Although the chair ruled against AT&T on some

    procedural questions, that alone is not sufficient to show a predisposition to find against

    AT&T. AT&T has made no showing that the hearing officer prejudged any facts in this

    case or was motivated by actual bias in ruling on procedural issues.

    b. Workers compensation statute

    AT&T alleges that the hearing panel violated the statutory requirement of

    a balanced hearing panel because the chairs union activities upset the balance in the

    panels composition. The workers compensation act provides for panels of threemembers: a representative of labor, a representative of industry, and the commissioner

    of labor or the designated representative of the commissioner. The applicable statute49

    does not say that the panel must be neutral, nor does it restrict in any way whom the

    commissioner can appoint as his representative. There is no indication that the chair (the

    commissioners designee) was acting as a second representative of labor or in a non-

    neutral capacity. We are unconvinced that his ancillary union position unbalanced the

    panel.

    c. The Alaska Code of Judicial Conduct

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    Louisiana Pac. Corp. v. Koons, 816 P.2d 1379, 1382-83 (1979).50

    Adamson, 819 P.2d at 889 n.3. We note that new regulations governing51

    hearing officer conduct look to the Code of Judicial Conduct for guidance, although they

    do not explicitly apply the code to hearing officers. 2 AAC 64.030(c) (2006). No one

    argues that these regulations apply here, and we express no opinion as to the applicabilityof the Code of Judicial Conduct to hearing officers in future cases.

    Id.; AS 44.62.450(c).52

    Alaska Code of Judicial Conduct Canon 4C(3)(a) (2006).53

    6139-28-

    AT&T argues at length that the hearing officer violated the Alaska Code of

    Judicial Conduct but does not address the threshold issue of the codes applicability to

    workers compensation hearing officers. It relies on one 1988 board ethics bulletin that

    looked to the Code of Judicial Conduct for guidance on the issue of giving references.

    Louisiana Pacific Corp. v. Koons , cited by AT&T to support its argument, deals with a

    hearing officers ex parte communications, which are explicitly prohibited by the Alaska

    Administrative Procedure Act, and says nothing about the Code of Judicial Conduct.50

    Because AT&T has not adequately briefed the issue of the applicability of the Code of

    Judicial Conduct to workers compensation hearing officers, we will not consider it.51

    Nor will we consider any claim that the hearing officers conduct violated theAdministrative Procedure Acts provision regarding disqualification of hearing officers.52

    We do not believe that the hearing officers position as a union officer

    violated the code in any event. While the Code of Judicial Conduct prohibits judges

    from serving as officers of organizations that are likely to be engaged in proceedings that

    come before the judge, unions are not generally parties before the workers53

    compensation board, even though their individual members may come before the board.

    Hearing officers in the workers compensation division are members of the Alaska State

    Employees Association, which is affiliated with the AFL-CIO. Because the hearing

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    officers position as a union officer seems to have arisen directly out of his employment

    for the state, AT&Ts argument could potentially disqualify all hearing officers.

    IV. CONCLUSION

    The board did not abuse its discretion in its procedural rulings; it therefore

    did not deny AT&T due process. Because substantial evidence exists in the record to

    support the boards findings, we AFFIRM the superior court judgment that affirmed the

    boards rulings.